Deficiencies (over last year)
Deficiencies (over last year)
15 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
329% worse than Texas average
Texas average: 3.5 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Annual Inspection
Deficiencies: 15
Date: Nov 17, 2023
Visit Reason
State-compiled facility profile showing multiple inspections including a recent comprehensive inspection on November 17, 2023, with deficiency and enforcement history.
Findings
The facility had multiple violations related to resident abuse prevention and internal policy adherence in the 2023 inspection, and numerous life safety code violations were cited in a 2019 inspection. All cited violations were corrected by their respective correction dates.
Deficiencies (15)
The facility failed to ensure each resident was free from abuse and unnecessary restraints.
The facility failed to follow its internal policies regarding the prevention, detection, and reporting of abuse, neglect, or exploitation.
The facility failed to provide a manual fire alarm pull within five feet of each exit door with a sign stating, "Pull to release door in emergency."
The facility failed to ensure hazardous areas were constructed in compliance with licensing standards for assisted living facilities, and/or that volatile materials were not stored in the facility.
The facility failed to provide lighting levels in compliance with licensing standards for assisted living facilities.
The facility failed to ensure the fire alarm and smoke detection system was in compliance with licensing standards for assisted living facilities.
The facility failed to ensure the installation of the smoke detection system complied with applicable requirements.
The facility failed to ensure the required sprinkler system was inspected, tested, and maintained in compliance with NFPA 25.
The facility failed to provide a site and/or building free of fire, health, or physical hazards.
The facility failed to avoid cross-contamination between clean and soiled utensils and/or linens in the kitchen and/or laundry.
The facility failed to ensure the building was kept in good repair.
The facility failed to provide and/or maintain a commercial range hood and exhaust system in compliance with NFPA 96.
The facility failed to ensure fire drills were conducted and documented to be in compliance with licensing standards for assisted living facilities.
The facility failed to provide and/or maintain portable fire extinguishers in compliance with licensing standards for assisted living facilities and NFPA 10.
The facility failed to ensure all monthly and yearly extinguisher inspections were performed and/or documented; and/or that unserviceable extinguishers were replaced.
Report Facts
Inspections on page: 2
Total fines: 7100
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